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I used to have severe gastritis and heartburn issues and still get bad heartburn from pregnancy. So let me just share a few remedies I have tried.
The medication option is Zantac. It is not proven totally safe for pregnancy (lack of studies) but many OBs will tell you to take it if your symptoms are bad enough, it is not uncommon to take it and there have been no reported problems. I try to avoid this option but it is out there.
For immediate relief, there are a few big things I have found. In a pinch you can just drink a dash of baking soda in a glass of water, it is alkaline and neutralizes the acid. However it tastes yucky and is high sodium, not the greatest. There is also Alka Seltzer Heartburn Relief. Make sure it is the right type of Alka Seltzer, most of them have aspirin and stuff you don't want, but one kind is JUST the antacids. It is also high sodium so be careful if you have blood pressure issues. But highly effective for immediate relief.
Tums are great, they neutralize acid with calcium compounds, but even the max strength ones are not so effective for severe heartburn. I try to pop one or two at the first sign of discomfort though. Calcium is a good vitamin to take too so it's like an added bonus
My personal favorite (since I also suffer a lot of pregnancy related constipation) is a calcium-magnesium CALM brand powder. The magnesium is a non-stimulant (preg safe) laxative and both Ca and Mg are alkaline and great for neutralizing acid. So this stuff is a godsend for me!!! It works better than Tums since I can make a strong small glass of it that coats my esophagus pretty well, or I can do a big glass with just a little bit, depending on my needs.
Also, not everyone knows this, but your stomach empties to the side more than downwards, and if you LIE DOWN on your LEFT side, it helps the stomach empty. Studies have shown it is reasonably effective even without any other remedy. This is also very important when you have a stomach full of acidic overeaten food I *always* lie or lean on my left side after taking any kind of heartburn relief. Otherwise the acid can just come right back up again.
Hope this helps some of you ladies!!! I hate heartburn and have battled it for years (mainly while preggo since I quit my stressful career) but I keep it under control these days with Tums, CALM cal-mag powder, and lying on my left side a lot